Vancouver Vein & Surgical Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00044687 Issued in WA

Legal business name

VANCOUVER VEIN & SURGICAL CENTER

Doing business as

Vancouver Vein & Surgical Center

Practice address

13115 NE 4TH St Ste 230
Vancouver, WA 98684-5965

Phone

(360) 448-2047

Fax

(360) 450-2289

NPI assigned

Jul 26, 2018

Last updated

Jul 26, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Rubano, MDNPI 1861430506

Title

Owner

Phone

(360) 448-2047

Specialties & licenses 1

Addresses

Other names 1

• Vancouver Vein & Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19966/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Rubano, MD

  • Surgery Physician
  • Vancouver, WA
  • NPI 1861430506
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1659858132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST STE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845965",
            "telephone_number": "360-448-2047",
            "fax_number": "360-450-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST STE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845965",
            "telephone_number": "360-448-2047",
            "fax_number": "360-450-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER VEIN & SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "RUBANO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-448-2047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00044687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancouver Vein & Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vancouver Senior Care (Comfort Keepers)
• Vancouver Senior Living, LLC (Fisher's Landing Assisted Living Community)
• Vancouver Sleep Center, LLC
• Vancouver Spinal Care
• Vancouver Spine & Orthopedic Rehabilition Center, PLLC
• Vancouver Voice Works PLLC
• Vancouver Wellness Clinic, LLC
• Vancouver Wellness Studio, PLLC
• Helene E Vandeberg, CP RC
• Nichole Dianne Vandel, SUDPT

• Surgery Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.